14-103040Project Name: LATITUDE CONDOMINIUMS
Project Address: 33020 10TH AVE SW UNIT U202
Erectrfcal
Permit #: 14-103040-OO'EL
Project Description: Adding/altering (2) circuits for jacuzzi & fan/beater
Inspection Request Line: (253) 835-3050
Parcel Number: 420500 0800
Owner
Al2RIican
City of Federal Way
GLENN MERKEL
Community & Econ. Dev. Services
FILE
33325 8th Ave S
3519 N BENNETT ST
Federal Way, WA 98003
FEDERAL WAY WA
Ph: (253) 835-2607 Fax: (253) 835-2609
3519 N BENNETT ST
Project Name: LATITUDE CONDOMINIUMS
Project Address: 33020 10TH AVE SW UNIT U202
Erectrfcal
Permit #: 14-103040-OO'EL
Project Description: Adding/altering (2) circuits for jacuzzi & fan/beater
Inspection Request Line: (253) 835-3050
Parcel Number: 420500 0800
Owner
Al2RIican
Contractor
GLENN MERKEL
NORTH POINTE ELECTRIC
NORTH POINTE ELECTRIC
33020 10TH AVE SW #U202
3519 N BENNETT ST
NORTBPE901MIL (7/13/16)
FEDERAL WAY WA
TACOMA WA 98407
3519 N BENNETT ST
98023-5048
TACOMA WA 98407
Additional Permit Information
Is this an Online or O.T.C. application?.................Yes
Electrical Fixtures
Circuits - Residential ...................... 2
Is Use Educational or Institutional? ....................... No
PERMIT EXPIRES Sunday, December 21, 2014
Permit Issued on Tuesday, June 24, 2014
I hereby certify that the abov i formation is correct and that the construction on the above described property and
the occupancy and the I be in accordance with the laws, rules and regulations of the State of Was "ngton
and the City of Federal Way.
Owner or agent: Date: �G
THIS CARD IS TOIN ON-SITE 4
CITY OF14Ai� Construction In ection Record '
Federal Way INSPECTION REQU TS: (253) 835-3050
PERMIT #: 14 -103040 -00 -EL Address: 33020 10TH AVE SW UNIT U202
Project: GLENN MERKEL FEDERAL WAY, WA 98023-5048
Scheduled inspections may be failed if this card is not on-site. DO NOT LOSE THIS CARD. Inspections are listed as close to sequential order as
possible (read left to right, top to bottom). Please schedule inspections as appropriate. Work must not be covered until it is approved. Check with your
inspector if you are unsure about any of the inspections or the inspection sequence. On-going inspections are logged on the back of this card.
Final - Electrical (4055)
Approved
By Date r
UFER Ground (4295)
Ditch cover (4030)
Temporary Power (4275)
Slab/Concrete Floor (4255)
Approved
By
Approved
Approved to place concrete
By
Date
By
Date
By
Date
Final - Electrical (4055)
Approved
By Date r
Rough Electrical
Approved
E]
Temporary Power (4275)
Service (4235)
By
Pool Bonding (4195)
Approved
Date
Approved
Date
Approved
By
Date
By
Date
By
Date
E]
Ceiling Cover (4020)
Rough Electrical (4225)
Feeders/Sub-panels (4045)
Approved
Approved
Approved
By
Date
By
Date
By
Date
Final - Electrical (4055)
Approved
By Date r
Rough Electrical
Approved
Final Electrical
Approved
Right of Way .�
Approved
By
Date
By
Date
By
Date
I 'ACITY OF
Federal Way
PERMIT NUMBER ( _
0 E&CTRICAL w
(02 .;;, 040
JUN 2 4 2014
CITY OF FEDERAL WAY
SITE ADDRESS: iv� S Q. 0 �
SUITE/UNIT/SPACE #
02-02,OJEVALUATION
ASS OR'S TA�ARCF,L O _ O R O O
Z S
CURRENT/PROPOSED USE
PROJECT NAME
(Tenant or Homeowner Last Name)
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
d d/l
/�
` A N1(
PROPERTY OWNER
NAME /�
PRIMARY PHONE
-
MAILING ADDRESS f 7
C i 11 V
E-MAIL
CITY Q
STAT
ZIP_ 80233
FAX
ELECTRICAL
CONTRACTOR
, I ..
NAMEPO 12,4t)
i c)Cyi
)PRIMARY PHONE
MAILING ADDRESS V�(�
`?7S� c1 1 " °
E-MAIL
CITY
STATEZIP
cep
�° 4
FAX
WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
APPLICANT
NAME
(( PRIMARY PHONE
MAILING ADDRESS
E-MAIL
CITY
STATE
ZIP
FAX
)
PROJECT CONTACT
NAME
PRIMARY PHONE
) _
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner. I certify that to the best
of my knowledge, the information submitted in support of this permit application is true and correct. I certify that I will comply with
all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit. I understand that the
issuance of this permit does not remove the owner's responsibility for compliance with locai, state, or federal laws regulating
construction or environmental Iaws.
I further agree to hold harmless the City of Federal Way as to any claim (including costs, expenses, and attorneys' fees incurred in
the investigation and defense of such claim), which may be made by any person, including the undersigned, and filed against the city,
but only where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to the citta as apart of this application.
SIGNATURE:
PRINT NAME:
Bulletin # 160 — January 1, 2013 Page 1 of 2 k:\Handouts\Electrical Permit Application